Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.40 / $3,596.00 / $10,836.00	Facility		$435.40	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $253.63 / $253.63 / $253.63	Facility		$253.63	$253.63	$253.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,414.62	Facility		$55.00	$55.00	$3,414.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.57 / $329.62 / $630.32	Facility		$266.57	$329.62	$630.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.57 / $329.62 / $711.36	Facility		$266.57	$329.62	$711.36
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00